title: Age-related differences in radiographic parameters for femoroacetabular impingement in hip arthroplasty patients.
abstract: OBJECTIVE
  To compare the prevalence of femoroacetabular impingement (FAI) radiographic findings between patients aged younger than 50 years and those aged 50 years or older who underwent total hip arthroplasty.
  
  
  METHODS
  Total hip arthroplasty patients aged younger than 50 years and those aged 50 years or older were identified retrospectively from a facility medical record database. Fifty patients from each group were randomly selected, and preoperative radiographs were collected. Dysplastic, inflammatory, post-traumatic, and osteonecrosis patients were excluded. Radiographs were evaluated for FAI-specific findings. Intraobserver and interobserver reliability was evaluated with κ statistics for categorical variables and intraclass correlation coefficients for continuous variables. An independent t test was used to compare continuous variables, χ(2) analysis was used for discrete variables, and a z ratio was used to analyze proportions.
  
  
  RESULTS
  The mean age between the subgroups of patients aged younger than 50 years and those aged 50 years or older (43 years and 68 years, respectively) was significantly different (P < .05). Findings in the subgroup aged younger than 50 years included significantly more men (P < .001), decreased lateral joint space with maintained medial joint space (P < .05), significantly greater alpha angle on both the anteroposterior view and the frog-leg lateral view (P < .05), significantly higher Tönnis and Sharp angles (P < .01), and significantly lower center-edge angle (P < .001).
  
  
  CONCLUSIONS
  This retrospective case series shows an increased prevalence of FAI findings (specifically cam pathology) in a patient population aged younger than 50 years undergoing total hip arthroplasty when compared with a cohort aged 50 years or older.
  
  
  METHODS
  Level III, retrospective comparative study.
authors.affiliation: Rush University Medical Center, Chicago, IL 60612, USA.
authors.forename: Geoffrey S
authors.initials: GS
authors.lastname: Van Thiel
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Harris
authors.forename: Richard W
authors.initials: RW
authors.lastname: Kang
authors.forename: Jaskarndip
authors.initials: J
authors.lastname: Chahal
authors.forename: Craig J
authors.initials: CJ
authors.lastname: Della Valle
authors.forename: Charles A
authors.initials: CA
authors.lastname: Bush-Joseph
authors.forename: Shane J
authors.initials: SJ
authors.lastname: Nho
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D057925:Femoracetabular Impingement / Q000000981:diagnostic imaging* / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D015995:Prevalence; D011859:Radiography; D015203:Reproducibility of Results; D012189:Retrospective Studies